| NPI | 1770576944 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE HETTENBACH Office Manager 785-493-8400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1744P3200X Specialist Prosthetics Case Management |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2010-08-06 |